Melasma often appears slowly, deepens with sun exposure, and can return even after it fades. These brown or gray-brown patches typically show up on the cheeks, forehead, upper lip, or chin, and they may become more noticeable after pregnancy, birth control use, or hormonal shifts. While melasma is not dangerous, it can be stubborn, and treating it successfully requires more than a one-size-fits-all cream. With the right medical dermatology plan, many patients see significant improvement and better long-term control.
At Manhattan Dermatology, patients receive expert melasma care from leading board-certified dermatologists, including NYU dermatology professors. With two convenient New York City locations in Murray Hill and Midtown East, you can access customized treatment options designed to brighten pigmentation safely and protect your results over time.
What Is Melasma?
Melasma is a common pigmentation disorder that causes dark patches on the skin, most often on the face. It occurs when pigment-producing cells (melanocytes) become overstimulated and produce excess melanin in certain areas.
Melasma is sometimes called the “mask of pregnancy” because it frequently develops during pregnancy, but it can also affect people who are not pregnant, especially women and individuals with medium to darker skin tones.
Melasma is chronic, meaning it often improves with treatment but may flare again if triggers return.
What Does Melasma Look Like?
Melasma usually appears as:
- Brown, tan, or gray-brown patches
- Symmetrical discoloration on both sides of the face
- Flat areas of pigmentation (not raised or scaly)
- Patches on the cheeks, forehead, upper lip, chin, or nose
Melasma can also occur on the neck or forearms in some cases, especially with significant sun exposure.
Melasma Treatment Options
Melasma treatment works best when it combines pigment control, gentle skin renewal, and long-term prevention. Because melasma is sensitive to irritation, treatment must be carefully customized, especially for patients with reactive skin or deeper skin tones.
Treatment options may include:
Prescription Topical Treatments
Your dermatologist may recommend medical-grade creams to reduce pigment production and brighten existing discoloration.
Chemical Peels (Select Patients)
Chemical peels can help exfoliate surface pigment and encourage more even tone, especially when used as part of a structured plan. Your dermatologist will select peel strength carefully to avoid irritation, which can worsen melasma.
Laser and Light-Based Treatments
Some laser treatments may be helpful for melasma, but they must be chosen carefully. Not all lasers are appropriate for melasma, and some can trigger rebound pigmentation if used incorrectly. Manhattan Dermatology will recommend laser options only when appropriate for your skin type and pigment depth.
Skincare Guidance and Maintenance Planning
Long-term control often depends on consistent home care. Your dermatologist will help you choose products that support the skin barrier, reduce inflammation, and maintain brighter tone without triggering flare-ups.
Why Choose Manhattan Dermatology for Melasma Treatment
Melasma requires careful diagnosis, strategic planning, and expert treatment selection. Manhattan Dermatology offers comprehensive pigmentation care with a balanced approach that prioritizes both results and skin safety.
Patients choose Manhattan Dermatology because they provide:
- Board-certified dermatologists experienced in treating melasma and pigmentation disorders
- NYU faculty physicians — all providers are dermatology professors
- Customized treatment plans tailored to skin tone, pigment depth, and sensitivity
- Advanced treatment options, including prescription therapies, peels, and select laser treatments
- Two convenient New York City locations on Park Avenue and East 36th Street
- Full-spectrum dermatology care, including rosacea, acne, eczema, and cosmetic dermatology services
Treat Melasma With Expert Care in New York, NY
Melasma can be persistent, but with expert guidance, it can be managed. The right plan can brighten dark patches, even out your tone, and help you maintain results long term, especially when paired with consistent sun protection and the right skincare routine. To learn more about melasma treatment in New York, NY, call (212) 683-6073 or (212) 689-9587 to schedule an appointment today.